| Carolina Sports Clinic-fort Mill,llc | |
|
985 Market St, Suite 201, Fort Mill, SC 29708-6532 | |
| (704) 449-6601 | |
| (980) 225-7914 |
| Full Name | Carolina Sports Clinic-fort Mill,llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 985 Market St, Fort Mill, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144605759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3905 (South Carolina) | Primary |
| Provider Name | Theresa Torres Lobbestael |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1003235854 PECOS PAC ID: 5698991933 Enrollment ID: I20140723001160 |
| Provider Name | Joshua L Kollmann |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1245379445 PECOS PAC ID: 5193972867 Enrollment ID: I20160725001194 |
| Provider Name | Bradley D Wiest |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1629395017 PECOS PAC ID: 2264685668 Enrollment ID: I20160725001669 |
| Provider Name | Laura E Sundquist |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427305978 PECOS PAC ID: 2860702842 Enrollment ID: I20170109000462 |
| Provider Name | Jared A Sams |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1770020075 PECOS PAC ID: 1355628918 Enrollment ID: I20170508002697 |
| Provider Name | Kyle Warren Geer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1538687496 PECOS PAC ID: 5597004481 Enrollment ID: I20190806003176 |
| Provider Name | Andrea Cordle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750788147 PECOS PAC ID: 1052739398 Enrollment ID: I20200917002433 |
| Provider Name | Zachary S Higgins |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1316699697 PECOS PAC ID: 5193110757 Enrollment ID: I20220317000298 |
| Provider Name | Courtenay E Boyle |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1568856052 PECOS PAC ID: 6507178670 Enrollment ID: I20231207001274 |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Sports Clinic-fort Mill,llc 985 Market St, Suite 201, Fort Mill, SC 29708-6532 Ph: (803) 547-9800 | Carolina Sports Clinic-fort Mill,llc 985 Market St, Suite 201, Fort Mill, SC 29708-6532 Ph: (704) 449-6601 |
Dr. Theresa Lobbestael, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 985 Market St Ste 201, Fort Mill, SC 29708 Phone: 803-547-9800 Fax: 803-547-9804 | |
Dr. Jonathan Cory Broyles, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 9945 Charlotte Hwy, Fort Mill, SC 29707 Phone: 803-802-8601 Fax: 803-802-7969 | |
Dr. Craig M. Leis, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 10384 Tintinhull Dr, Fort Mill, SC 29707 Phone: 704-502-7897 Fax: 704-327-0793 | |
Dr. Angenique Gloriann Jackson, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1171 Market St Ste 112, Fort Mill, SC 29708 Phone: 803-802-7799 | |
New Life Disc, Spine & Joint Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 10384 Tintinhull Dr, Fort Mill, SC 29707 Phone: 704-502-7897 Fax: 704-327-0793 | |
Marc E Mccartney, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2752 Pleasant Rd, Suite 104, Fort Mill, SC 29708 Phone: 803-802-3737 Fax: 803-802-3747 | |
Hall Chiropractic Center, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 1171 Market St, Suite 104, Fort Mill, SC 29708 Phone: 803-412-2240 Fax: 803-802-2413 |